Differences Between Dementia Caregivers Who are Users and Nonusers of Community Services
Differences Between Dementia Caregivers Who are Users and Nonusers of Community Services
复制标题
DOI：
10.1111/phn.12041
复制
发表时间：
2013-11-01
影响因子：
2.1
通讯作者：
Reed, David
中科院分区：
文献类型：
--
作者：
Robinson, Karen M.;Buckwalter, Kathleen;Reed, David
目的探讨痴呆症患者（PWD）护理人员社区服务使用者和非使用者之间的差异。开发了使用服务和不使用服务的概要文件。设计和样本：使用来自国家护理人员培训项目（1995-1997年收集的数据）的现有横截面数据。样本（N=241）白人，受过良好教育的照顾者反映了配偶和成人照顾者的混合，平均年龄为64.8岁。测量变量包括照顾者的社会支持、负担、抑郁以及PWD的问题行为。结果大多数护理人员不参加支持小组（73%）或使用暂停服务（79%）。在不使用服务的照顾者中，78%与接受者住在一起，77%是配偶。与用户相比，非用户的个人资料显示，非用户明显年龄更大，更抑郁，获得的社会支持更少。另一方面，非使用者每周为认知和功能退化程度较低以及行为问题较少的接受者提供的护理时间较少。结论本研究结果为公共卫生护士了解残疾人护理人员的服务使用情况提供了依据。提出了关于护理人员需要援助和在危机发生前增加服务使用的建议。
ObjectivesTo examine differences between users and non-users of community services in caregivers of persons with dementia (PWD). A profile of who used services versus did not use services was developed.Design and SampleExisting cross-sectional data from the NINR funded National Caregiver Training Project (data collected 1995-1997) were used. The sample (N=241) of caucasian, well-educated caregivers reflected a mix of spouse and adult caregivers with a mean age of 64.8years.MeasuresVariables measured included caregiver social support, burden, and depression as well as problem behavior of PWD.ResultsThe majority of caregivers did not attend support groups (73%) or use respite services (79%). Among caregivers who did not use services, 78% lived with the recipient and 77% were spouses. The profile of non-users compared to users revealed that non-users were significantly older, more depressed, and received less social support. On the other hand, non-users provided fewer hours of care per week to recipients who had less cognitive and functional deterioration and fewer behavior problems.ConclusionsThese findings provide public health nurses with knowledge about service use in caregivers of PWD. Recommendations regarding caregiver needs for assistance and increased use of services before a crisis ensues are presented.